Active NPI
Conrad H Easley MD PC
- Orthopaedic Surgery Physician
- Dalton, GA
National Provider Identifier
1447590963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- CONRAD H EASLEY MD PC
- Practice address
- 1501 Broadrick Dr
Suite # 3
Dalton, GA 30720-3014 - Phone
- (706) 226-6318
- Fax
- (706) 278-6031
- NPI assigned
- Feb 20, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Claudette Easley
- Title
- Secretary
- Phone
- (706) 226-6318
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
1501 Broadrick Dr
Suite # 3
Dalton, GA 30720-3014
Mailing address
1501 Broadrick Dr
Suite # 3
Dalton, GA 30720-3014
Phone (706) 226-6318
National Provider Directory
National Provider DirectoryLocations
1501 Broadrick Dr
Ste 3
Dalton, GA 30720
Phone (706) 226-6318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361318400000",
"number": "1447590963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 BROADRICK DR",
"address_2": "SUITE # 3",
"city": "DALTON",
"state": "GA",
"postal_code": "307203014",
"telephone_number": "706-226-6318",
"fax_number": "706-278-6031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 BROADRICK DR",
"address_2": "SUITE # 3",
"city": "DALTON",
"state": "GA",
"postal_code": "307203014",
"telephone_number": "706-226-6318",
"fax_number": "706-278-6031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONRAD H EASLEY MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-20",
"last_updated": "2013-02-20",
"status": "A",
"authorized_official_last_name": "EASLEY",
"authorized_official_first_name": "CLAUDETTE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "706-226-6318",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.